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  • NCP

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    Lorilei Rose Juntilla
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    The patient was experiencing ineffective breathing patterns as evidenced by the husband reporting difficulty breathing and the patient using accessory muscles. The nursing assessment found a rapid respiratory rate and cyanosis. The short term plan was for the patient to establish an effective breathing pattern and reduce symptoms of hypoxia and cyanosis within 15 minutes. The long term goal was for the patient to demonstrate improved respiratory management with oxygen and medications.

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    The patient was experiencing ineffective breathing patterns as evidenced by the husband reporting difficulty breathing and the patient using accessory muscles. The nursing assessment found a rapid respiratory rate and cyanosis. The short term plan was for the patient to establish an effective breathing pattern and reduce symptoms of hypoxia and cyanosis within 15 minutes. The long term goal was for the patient to demonstrate improved respiratory management with oxygen and medications.

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    Attribution Non-Commercial (BY-NC)
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    10 views2 pages

    NCP

    Uploaded by

    Lorilei Rose Juntilla
    The patient was experiencing ineffective breathing patterns as evidenced by the husband reporting difficulty breathing and the patient using accessory muscles. The nursing assessment found a rapid respiratory rate and cyanosis. The short term plan was for the patient to establish an effective breathing pattern and reduce symptoms of hypoxia and cyanosis within 15 minutes. The long term goal was for the patient to demonstrate improved respiratory management with oxygen and medications.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    of 2

    ASSESSMENT Subjective Cues: lain na lagi xa mag ginhawa mura cyag g lisud as verbalized by husband Objective Cues: RR:

    35 Use of accessory muscles to breathe

    DIAGNOSIS In effective breathing pattern related to -----

    PLANNING Short term: At the end of 15mins of nursing intervention pt will be able to: -establish an effective respiratory pattern as evidence by reduction of other signs and symptoms of hypoxia and cyanosis.

    Long term: At the end of ___ of nursing intervention pt will be able to: -demonstate improvement/normalize on respiratory Collaboration: management -administer oxygen at lowest concentration indicated and prescribed respiratory meds

    IMPLEMENTATION RATIONALE -elavate head of To promote bed physiological ease of maximal respiration -maintain emergency -when ventilator equipment in support might readily accessible be needed loacation and include age/ size of et tubes

    EVALUATION

    -for management of underlying pulmonary conditions, respiratory distress or cyanosis.

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